Combination Life and Long Term Care Insurance with Lifetime Benefits and Annual Premiums – Long Term Care University – 06/15/15




Long Term Care University – Question of the Month – 06/15/15
By Aaron Skloff, AIF, CFA, MBA

Q: We read the 1st2nd , 3rd, 4th , 5th6th 7th8th9th and 10th Long Term Care University articles on Combination Life and Long Term Care (LTC) insurance policies and decided to purchase a Combination policy. Instead of a limited number of years of coverage, are lifetime benefits available on Combination (Combo or Hybrid or Linked Benefits or Asset Based) Life and Long Term Care (LTC) insurance policies?  Instead of a single premium can we pay an annual premium?

The Problem – The Cost of an Extended Period of Long Term Care and Increasing Costs for Long Term Care ServicesHappy Romantic Middle Aged Couple Enjoying Beautiful Sunset Walk

According to the U.S. Department of Health and Human Services, 7 in 10 people over the age 65 will require long term care. Although the average length of long term care is approximately three years, 20% will need care for longer than five years.  The cost of long term care is staggering: $91,000 per year for a nursing facility, $43,000 per year for the base rate in an assisted living facility and $42,000 per year for 40 hours per week of home care.  Applying the historical 4% compound growth rate of long term care services, the cost of care will double every 18 years.

One of the largest long term care insurance companies  reported that 50% of all claims dollars it has paid are due to dementia, including Alzheimer’s disease.  According to the Alzheimer’s Association, 1 in 9 people age 65 and older and about 1 in 3 people age 85 and older have Alzheimer’s disease.  The duration of Alzheimer’s disease is generally four to eight years after a diagnosis, but can last as long as 20 years.  Unfortunately, the cost of an extended period of long term care can destroy a lifetime of savings.

The Solution – Combination Life and Long Term Care Insurance with Lifetime Benefits with Annual Premiums

Lifetime Benefits (or Unlimited Benefits) are extinct at almost every Traditional Long Term Care Insurance company.  Many companies have reduced their own risks and increased consumers’ risks by limiting coverage to a maximum of five or six years.  Fortunately, lifetime benefits (unlimited number of months or years) exist on Combination policies.  But for some consumers, an annual premium is more attractive than a single premium.

Numbers Speak Louder than Words.  Let’s look at a husband and wife that are each 55 years of age. If they make combined annual premium payments of $7,330 they immediately gain a combined tax free $16,188 per month ($8,094 per month per person) long term care benefit.  This equates to a combined $194,256 per year ($97,128 per year per person) benefit available for an unlimited number of months for LTC costs; literally a lifetime worth of long term care.  They also gain a $269,800 tax free death benefit when the second person dies, assuming the policy’s LTC benefits are unused.  If they each only need three years of care in 25 years from now at the age of 80, their policy would provide a combined $582,768 of long term care benefits.  That gives them almost three times leverage on the premiums they paid.

Click to EnlargeCombinationLifeLTCAnnualPremiums1

Action Step – Purchase a Combination Life and Long Term Care Insurance with Lifetime Benefits and Annual Premiums

Since the length of care you will need is unknown, the ideal policy is one that provides a lifetime of long term care benefits.  In the event you never need long term care benefits a Combination policy will pay a life insurance benefit.  Either way, you win.

Aaron Skloff, Accredited Investment Fiduciary (AIF), Chartered Financial Analyst (CFA) charter holder, Master of Business Administration (MBA), is the Chief Executive Officer of Skloff Financial Group, a Registered Investment Advisory firm. The firm specializes in financial planning and investment management services for high net worth individuals and benefits for small to middle sized companies. He can be contacted at or 908-464-3060.

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